Development of the Continuous Care Guidelines for the Home - Bound and Bed - Bound Elders Living in the Vicinity of Family Practice Center, Phra Nakhon Si Ayutthaya Hospital.

Abstract

     This research aims to improve the suitability and effectiveness of the job of continuous home care for the patients of Phra Nakhon Si Ayutthaya Hospital, by using the existing resources. Moreover, this research is an Experimental Development Research, Control Group Post-test Design. The Experimental group are 30 home-bound and bed-bound elder patients who were admitted at and discharged from Phra Nakhon Si Ayutthaya Hospital during 2013 October 1 - November 30. The control group consists of 30 home-bound and bed-bound elder patients who were admitted at and discharged from In-Patient Ward, Phra Nakhon Si Ayutthaya Hospital during 2013 August 1 - September 30. The research instruments applied include the development of ‘Friends for Friends’ Volunteer Group, World Health Organization’s Assessment Form on Life Quality (WHOQOL-BREF), Record on Activities Practiced, and Patient Discharge Form. By the result of the research, it is found out that, after applying the new model for continuous home care, the performance of patient care is better than applying the former model, in the aspect of model’s suitability, the coverage of continuous home care for patients, and the scores on assessing life quality because the team accepts the results of the assessment on job supervision, and is ready to improve the quality of the job, according to the Community Medical Unit and Nursing Professional Standards.